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Medical ethics is a special kind of ethics only as it relates to a particular realm of facts and concerns and not because it embodies or appeals to some special moral principles or methodology. With contributions not only from moral philosophers but also from physicians, nurses and other health professionals, social and natural scientists and lawyers, medical ethics has become a field of major concern.
Nowadays, conflicts of interests between the government and medical institutions, between medical institutions and medical personnel, between physicians and patients are getting more and more serious and complex. High technologies not only brought us hopes of cure but have also created a heavy economic burden. The ethical dilemmas of high technology medicine-brain death, organ transplantation, and concerns about quality of life-have become increasingly prominent. A new and more specific code of ethics must be developed to meet the demands of social development and medical service. This new code integrates the traditional medical ethics with modern principles and values. Ethics are not general standards of conduct but the standards of a particular profession, occupation, institution, or group within society.
Ethics deals with right and wrong conduct, with what we ought to do and what we should refrain from doing. The word “ethics”, when used in this way, usually serves as a modifier for another word, e.g. business ethics, medical ethics, sports ethics, military ethics, etc. The expressions “professional ethics” and “medical ethics” were coined by Thomas Percival.
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Scope and Importance:
Health professionals, health authorities and the public debate the issues raised by organ and tissue transplantation, unequal access to life-saving medicines, new reproductive technologies and vast increases in the numbers and types of clinical trials. The Four Traditional Pillars of Medical Ethics are Autonomy, Beneficence, Non-maleficence and justice.
Autonomy refers to the capacity to think, decide and act on one's own free initiative.
Beneficence refers promoting what is best for the patient. Beneficence implies consideration of the patient's pain, their physical and mental suffering, the risk of disability and death, and their quality of life.
Non-maleficence refers to do no harm. In most cases of treating sick patients this adds little to the beneficence principle. But most treatments involve some degree of risk or have side-effects, so this principle reminds us to ponder the possibility of doing harm, especially when you cannot cure. Justice refers to the distribution of scarce health resources, and the decision of who gets what treatment “fairness and equality”. The burdens and benefits of new or experimental treatments must be distributed equally among all groups in society.
The scope of the medical ethics covers the major research topics are:
Political standards focus on the conduct of groups or social institutions, whereas ethical and moral standards focus on the conduct of individuals. Political standards take a macro-perspective on human affairs; ethical and moral standards adopt a micro-perspective. However, the distinction between ethics and politics is not absolute since many actions, institutions, and situations can be evaluated from an ethical or political point of view. All have a right to health and other conditions that promote a “sufficient” level of well-being, given practical constraints. Institutions and professionals must be trustworthy regarding this moral framework.
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